Pediatric Physical Therapy Part Two

Question 1

what deformity is present with Erb’s paralysis

Answer 1

waiter’s tip

Question 2

following shunting for hydrocephalus, what can result

Answer 2

Arnold-Chiari malformation Type II

Question 3

purpose of selective dorsal rhizotomy

Answer 3

decrease spasticity

Question 4

“floppy baby syndrome” AKA

Answer 4

Athetoid CP

Question 5

KAFOs are commonly used for what diseases

Answer 5

spina bifida

muscular dystrophy

Question 6

how are stance and gait described with ataxic CP

Answer 6

wide-based

Question 7

what is crouched gait

Answer 7

walks with:

hip flexion

hip IR

knee flexion

Question 8

where does esophagus refer pain

Answer 8

midback

Question 9

two types of spina bifida cystica and what’s the difference

Answer 9

meningocele: cyst included CSF, cord intact
myelomeningocele: cyst included CSF and herniated cord tissue

Question 10

purpose of the lamina of the vertebrae

Answer 10

protects spinal canal and spinal cord posteriorly

Question 11

how is hydrocephalus pressure relieved

Answer 11

shunting

Question 12

difference between spina bifida occulta and cystica

Answer 12

occulta: no SC involvement
cystica: visible or open lesion

Question 13

Total/Whole Arm Paralysis involves what nerve roots

Answer 13

C5-T1

Erb’s and Klumpke’s combined

Question 14

two common gait patterns with CP

Answer 14

crouched

toe walk

Question 15

what joint is most affected with Erb’s Paralysis

Answer 15

shoulder girdle

Question 16

purpose of side-lyers positioners

Answer 16

decrease tonic labrynthine reflex

put hands in visual field

Question 17

what is monoplegia

Answer 17

one limb affected

Question 18

reciprocating gait orthoses are commonly used for what diseases

Answer 18

thoracic level spina bifida

SCI

Question 19

purpose of baclofen

Answer 19

decrease muscle spasms

Question 20

most common drug for CP and what does it do

Answer 20

intrathecal baclofen pump

muscle relaxation

Question 21

laminotomy would most likely be used for what condition

Answer 21

disk protrusion

Question 22

what is quadriplegia

Answer 22

all four limbs

Question 23

how does botox injection work

Answer 23

small amounts of botulinum toxin injected into muscle

paralyzing it for 4-6 months

Question 24

what is hemiplegia

Answer 24

upper and lower limbs of one side of the body

Question 25

joints affected with Klumpke’s Paralysis

Answer 25

wrist and hand

Question 26

for ankle AFOs, if it is set at 5-10 degrees of dorsiflexion, what does it decrease

Answer 26

genu recurvatum

Question 27

HKAFOs are commonly used for what diseases

Answer 27

spina bifida

SCI

Question 28

what is a selective dorsal rhizotomy

Answer 28

dorsal sensory nerve rootlets are stimulated, those responding abnormally are severed

Question 29

for CP, what direction would the wheelchair be tilted in and why

Answer 29

posterior

to decrease extensor tone and maintain hip flexion

Question 30

where is the pump for intrathecal baclofen pump

Answer 30

abdomen

cathetar in cord

Question 31

what level of SCI results in bowel and bladder dysfunction

Answer 31

L4/L5

Question 32

what is diplegia

Answer 32

two lower limbs

Question 33

two big muscle groups to lengthen for CP

Answer 33

hamstrings

plantar flexors